Endoscopic Balloon Dilation for Ulcer‐induced Gastric Outlet Obstruction

James A. DiSario, M. Brian Fennerty, Christopher C. Tietze, William R. Hutson, Randall W. Burt

Research output: Contribution to journalArticle

74 Scopus citations

Abstract

Objective: To determine the safety and efficacy of endoscopic balloon dilation for ulcer‐induced gastric outlet strictures. Methods: Review of the cumulative experience from two institutions involving 30 patients who underwent endoscopic balloon dilation for peptic ulcer‐induced gastric outlet obstruction. Follow‐up was by standardized interview at a mean of 15 months (range 4–28 months). Results: Symptoms occurred for an average of 6 months before dilation and included weight loss, epigastric pain, nausea, vomiting, early satiety, bloating, and anorexia. Gastric outlet strictures had a median diameter of 6 mm (range, 0–10 mm). Ten (33%) patients had active ulcers. Six‐millimeter to 18‐mm (median 15‐mm) balloons were inflated a median of 2 times (range 1–4 times) for a median of 60 s (range 30–180 s). Fifty‐one procedures (1.7/patient) were performed; 20 (67%) patients had one treatment and 10 (33%) had multiple treatments. Twenty‐four (80%) patients achieved sustained symptom relief, 17 of 20 having a single procedure and 7 of 10 required multiple sessions. Dilation failed in 4 (13%) patients with long duodenal strictures. Two (6.7%) patients dilated to 18 mm suffered perforation. Both recovered uneventfully after surgery. Conclusions: Endoscopic balloon dilation is safe and effective for most patients with ulcer‐induced gastric outlet obstruction.

Original languageEnglish (US)
Pages (from-to)868-871
Number of pages4
JournalThe American journal of gastroenterology
Volume89
Issue number6
DOIs
StatePublished - Jun 1994

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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